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Pharmacogenomic landscape of COVID-19 therapies from Indian population genomes.


ABSTRACT: Aim: Numerous drugs are being widely prescribed for COVID-19 treatment without any direct evidence for the drug safety/efficacy in patients across diverse ethnic populations. Materials & methods: We analyzed whole genomes of 1029 Indian individuals (IndiGen) to understand the extent of drug-gene (pharmacogenetic), drug-drug and drug-drug-gene interactions associated with COVID-19 therapy in the Indian population. Results: We identified 30 clinically significant pharmacogenetic variants and 73 predicted deleterious pharmacogenetic variants. COVID-19-associated pharmacogenes were substantially overlapped with those of metabolic disorder therapeutics. CYP3A4, ABCB1 and ALB are the most shared pharmacogenes. Fifteen COVID-19 therapeutics were predicted as likely drug-drug interaction candidates when used with four CYP inhibitor drugs. Conclusion: Our findings provide actionable insights for future validation studies and improved clinical decisions for COVID-19 therapy in Indians.

SUBMITTER: Sahana S 

PROVIDER: S-EPMC8216321 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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Pharmacogenomic landscape of COVID-19 therapies from Indian population genomes.

Sahana S S   Sivadas Ambily A   Mangla Mohit M   Jain Abhinav A   Bhoyar Rahul C RC   Pandhare Kavita K   Mishra Anushree A   Sharma Disha D   Imran Mohamed M   Senthivel Vigneshwar V   Divakar Mohit Kumar MK   Rophina Mercy M   Jolly Bani B   Batra Arushi A   Sharma Sumit S   Siwach Sanjay S   Jadhao Arun G AG   Palande Nikhil V NV   Jha Ganga Nath GN   Ashrafi Nishat N   Mishra Prashant Kumar PK   Vidhya A K AK   Jain Suman S   Dash Debasis D   Kumar Nachimuthu Senthil NS   Vanlallawma Andrew A   Sarma Ranjan Jyoti RJ   Chhakchhuak Lalchhandama L   Kalyanaraman Shantaraman S   Mahadevan Radha R   Kandasamy Sunitha S   Devi Pabitha P   Rajagopal Raskin Erusan RE   Ramya J Ezhil JE   Devi P Nirmala PN   Bajaj Anjali A   Gupta Vishu V   Mathew Samatha S   Goswami Sangam S   Prakash Savinitha S   Joshi Kandarp K   Kumla Meya M   Sreedevi S S   Gajjar Devarshi D   Soraisham Ronibala R   Yadav Rohit R   Devi Yumnam Silla YS   Gupta Aayush A   Mukerji Mitali M   Ramalingam Sivaprakash S   Binukumar B K BK   Sivasubbu Sridhar S   Scaria Vinod V  

Pharmacogenomics 20210618 10


<b>Aim:</b> Numerous drugs are being widely prescribed for COVID-19 treatment without any direct evidence for the drug safety/efficacy in patients across diverse ethnic populations. <b>Materials & methods:</b> We analyzed whole genomes of 1029 Indian individuals (IndiGen) to understand the extent of drug-gene (pharmacogenetic), drug-drug and drug-drug-gene interactions associated with COVID-19 therapy in the Indian population. <b>Results:</b> We identified 30 clinically significant pharmacogenet  ...[more]

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